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china Patient-centered Evaluative Assessment of Cardiac Events Prospective Study of Acute Myocardial Infarction： Study Design

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chinese Medical Journal 2016年第1期129卷 72-80页

作者： Rachel P Dreyer Xi Li Xue Du Nicholas S Downing Li Li Hai-Bo Zhang Fang Feng Wen-Chi Guan Xiao Xu Shu-Xia Li Zhen-Qiu Lin Frederick A Masoudi John A Spertus Harlan M Krumholz Li-Xin Jiang National Clinical Research Center of Cardiovascular Diseases State Key Laboratory of Cardiovascular Disease Fuwai Hospital National Center for Cardiovascular Diseases Chinese Academy of Medical Sciences and Peking Union Medical College Beijing 100037 China Center for Outcomes Research and Evaluation Yale-New Haven Hospital New Haven Connecticut USA Section of Cardiovascular Medicine Department of Internal Medicine Yale School of Medicine New Haven Connecticut USA Department of Obstetrics Gynecology and Reproductive Sciences Yale School of Medicine New Haven Connecticut USA Division of Cardiology University of Colorado Anschutz Medical Campus Aurora Colorado USA Department of Biomedical and Health Informatics University of Missouri - Kansas City Kansas City Missouri USA Saint Luke's Mid America Heart Institute Kansas City Missouri USA The Robert Wood Johnson Foundation Clinical Scholars Program Department of Internal Medicine Yale School of Medicine New Haven Connecticut USA Department of Health Policy and Management Yale School of Public Health New Haven Connecticut USA

Background： Despite the rapid growth in the incidence of acute myocardial infarction （AMI） in china, there is limited information about patients＇ experiences after AMI hospitalization, especially on long-tern1 adverse events and patient-reported outcomes （PROs）. Methods： The china Patient-centered Evaluative Assessment of Cardiac Events （PEACE）-Prospective AMI Study will enroll 4000 consecutive AM I patients from 53 diverse hospitals across china and follow them longitudinally for 12 months to docunlent their treatment, recovery, and outcomes. Details of patients＇ medical history, treatment, and in-hospital outcomes are abstracted from medical charts. Comprehensive baseline interviews are being conducted to characterize patient demographics, risk factors, presentation, and healthcare utilization. As part of these interviews, validated instruments are administered to measure PROs, including quality of life, symptoms, mood, cognition, and sexual activity. Follow-up interviews, measuring PROs, medication adherence, risk factor control, and collecting hospitalization events are conducted at 1, 6, and 12 months after discharge. Supporting documents for potential outcomes are collected for adjudication by clinicians at the National Coordinating Center. Blood and urine samples are also obtained at baseline, 1 - and 12-month follow-up. In addition, we are conducting a survey of participating hospitals to characterize their organizational characteristics. Conclusion： The china PEACE-Prospective AMI study will be uniquely positioned to generate new information regarding patient＇s experiences and outcomes alter AMI in china and seiwe as a foundation for quality improveinent activities.

关键词： Acute Myocardial Infarction Outcomes Research Patient-reported Outcome Measures Prospective Cohort

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非小细胞肺癌术后随访中国胸外科专家共识

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中国胸心血管外科临床杂志 2021年第1期28卷 4-10页

作者：刘伦旭高树庚何建行胡坚葛棣李鹤成康明强谭锋维蔡开灿中国医师协会胸外科医师分会中国医药教育协会胸外科专业委员会四川大学华西医院胸外科成都610041 中国医学科学院肿瘤医院胸外科北京100021 广州医科大学附属第一医院胸外科广州510120 浙江大学医学院附属第一医院普胸外科杭州310003 复旦大学附属中山医院胸外科上海200032 上海交通大学医学院附属瑞金医院胸外科上海200025 福建医科大学附属协和医院胸外科福州350001 南方医科大学南方医院胸外科广州510515 不详

外科手术是非小细胞肺癌的重要治疗手段,其术后定期随访是早期发现和治疗肿瘤复发转移或第二原发肿瘤的有效方法,可提高患者的生活质量,改善预后。本共识旨在完善我国非小细胞肺癌患者术后随访方案,为负责非小细胞肺癌患者术后随访的同... 详细信息

外科手术是非小细胞肺癌的重要治疗手段,其术后定期随访是早期发现和治疗肿瘤复发转移或第二原发肿瘤的有效方法,可提高患者的生活质量,改善预后。本共识旨在完善我国非小细胞肺癌患者术后随访方案,为负责非小细胞肺癌患者术后随访的同道提供参考,进一步提高我国肺癌规范化诊疗水平。

关键词：非小细胞肺癌术后随访胸外科专家共识

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中国人群肝癌筛查指南(2022,北京)

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中华消化外科杂志 2022年第8期21卷 971-996页

作者：赫捷陈万青沈洪兵李霓曲春枫石菊芳孙凤姜晶曹广文庄贵华彭绩中国人群肝癌筛查指南制定专家组中国人群肝癌筛查指南制定工作组国家癌症中心国家肿瘤临床医学研究中心中国医学科学院北京协和医学院肿瘤医院北京100021 南京医科大学公共卫生学院肿瘤个体化医学省部共建协同创新中心南京211166 北京大学公共卫生学院北京100191 吉林大学第一医院长春130021 海军军医大学流行病学教研室上海200433 西安交通大学医学部公共卫生学院西安710061 深圳市慢性病防治中心深圳518020 不详

中国人群的肝癌存在生存率低、死亡率高的情况,如何有效降低肝癌相关负担仍是中国公共卫生和慢性病防控领域亟待解决的重大问题,而肝癌人群筛查策略优化是值得持续探索的重要抓手和方向。《中国人群肝癌筛查指南(2022,北京)》受国家卫... 详细信息

中国人群的肝癌存在生存率低、死亡率高的情况,如何有效降低肝癌相关负担仍是中国公共卫生和慢性病防控领域亟待解决的重大问题,而肝癌人群筛查策略优化是值得持续探索的重要抓手和方向。《中国人群肝癌筛查指南(2022,北京)》受国家卫生健康委员会疾病预防控制局委托,由国家癌症中心发起,联合多学科专家,根据世界卫生组织推荐的指南制定原则和方法,整合肝癌人群筛查领域的国内外研究新证据,兼顾中国国情及实践经验,针对肝癌筛查过程中的筛查人群、筛查技术、监测方案等呈现循证推荐,以期为中国人群肝癌筛查实践的规范提供参考。

关键词：肝肿瘤筛查监测指南中国

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中国成年人排便频率与结直肠癌发病风险的前瞻性关联分析

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中华流行病学杂志 2019年第4期40卷 382-388页

作者：杨淞淳申泽薇余灿清郭彧卞铮谭云龙裴培魏永越陈峰陈君石陈铮鸣吕筠李立明中国慢性病前瞻性研究项目协作组北京大学公共卫生学院流行病与卫生统计学系 100191 中国医学科学院北京100730 南京医科大学公共卫生学院生物统计学系 211166 国家食品安全风险评估中心北京100022 英国牛津大学临床与流行病学研究中心纳菲尔德人群健康系 OX37LF 北京大学分子心血管学教育部重点实验室100191 不详

目的分析排便频率与结直肠癌发病风险的前瞻性关联。方法研究对象来自于中国慢性病前瞻性研究,基线调查开展的时间为2004年6月至2008年7月,在剔除基线时自报患有恶性肿瘤的个体后,最终有510134人纳入分析。本研究使用的随访数据截止到2... 详细信息

目的分析排便频率与结直肠癌发病风险的前瞻性关联。方法研究对象来自于中国慢性病前瞻性研究,基线调查开展的时间为2004年6月至2008年7月,在剔除基线时自报患有恶性肿瘤的个体后,最终有510134人纳入分析。本研究使用的随访数据截止到2016年12月31日,采用Cox比例风险回归模型计算排便频率和结直肠癌发病的关联。结果研究对象平均随访9.9年,随访期间3056人发生结直肠癌;在分癌种分析时,纳入结肠癌1548例,直肠癌1475例。控制潜在混杂因素后,与排便频率基本1次/d者相比,排便频率>1次/d者发生结直肠癌、结肠癌和直肠癌的HR值分别为1.24(95%CI:1.12~1.39)、1.12(95%CI:0.95~1.31)和1.37(95%CI:1.18~1.59)。按随访时间进行亚组分析,随访前5年对应的HR值分别为1.59(95%CI:1.36~1.86)、1.43(95%CI:1.14~1.80)和1.76(95%CI:1.41~2.19);随访5年后,上述关联均无统计学意义(交互P1次/d者在随访前5年发生结直肠癌的风险升高。异常增加的排便频率作为一个容易识别的症状,应该在自我健康管理和结直肠癌早期筛检的实践工作中加以重视。

关键词：结直肠肿瘤排便频率队列研究

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Sex differences in the scored Patient-Generated Subjective Global Assessment in 19,528 cancer patients

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Journal of Nutritional Oncology 2023年第1期8卷 38-46页

作者： Wang Yan-Li Wu Tian-Tian Fu Zhen-Ming Guo Zeng-Qing Lin Yuan Shi Ying-Ying Hu Wen Ba Yi Li Su-Yi Li Zeng-Ning Wang Kun-Hua Wu Jing He Ying Yang Jia-Jun Xie Cong-Hua Zhou Fu-Xiang Song Xin-Xia Chen Gong-Yan Ma Wen-Jun Luo Su-Xia Chen Zi-Hua Cong Ming-Hua Ma Hu Zhou Chun-Ling Wang Wei Luo Qi Shi Yong-Mei Qi Yu-Mei Jiang Hai-Ping Guan Wen-Xian Chen Jun-Qiang Chen Jia-Xin Fang Yu Zhou Lan Feng Yong-Dong Tan Rong-Shao Li Tao Ou Jun-Wen Zhao Qing-Chuan Wu Jian-Xiong Lin Xin Yang Liu-Qing Zhang Qi Jia Ping-Ping Li Wei Xu Hong-Xia Shi Han-Ping Song Chun-Hua The Investigation on Nutrition Status and Clinical Outcome of Common Cancers(INSCOC)Group chinese Society of Nutritional Oncology Department of Epidemiology and Statistics College of Public HealthZhengzhou UniversityZhengzhouHenanChina Cancer Center Renmin Hospital of Wuhan UniversityWuhanHubeiChina Department of Medical Oncology Fujian Cancer HospitalFujian Medical University Cancer HospitalFuzhouFujianChina Department of Gastrointestinal Surgery Affiliated Tumor Hospital of Guangxi Medical UniversityNanningGuangxiChina Department of Surgery The First Affiliated Hospital of Sun Yat-sen UniversityGuangzhouGuangdongChina Department of Clinical Nutrition West China Hospital of Sichuan UniversityChengduSichuanChina Department of Gastrointestinal Oncology Tianjin Medical University Cancer Institute and HospitalNational Clinical Research Center for CancerTianjin Key Laboratory of Cancer Prevention and TherapyTianjinChina Department of Nutrition and Metabolism of Oncology Affiliated Provincial Hospital of Anhui Medical UniversityHefeiAnhuiChina Department of Clinical Nutrition The First Hospital of Hebei Medical UniversityShijiazhuangHebeiChina Department of Gastrointestinal Surgery Institute of GastroenterologyThe First Affiliated Hospital of Kunming Medical UniversityKunmingYunnanChina Zhongshan Chenxinghai Hospital(Affiliated Zhongshan Chenxinghai Hospital of Guangdong Medical University) ZhongshanGuangdongChina Department of Clinical Nutrition The First People's Hospital of KashiKashiXinjiangChina Department of Clinical Nutrition Chongqing General HospitalChongqingChina Department of Colorectal and Anal Surgery Huizhou Municipal Central HospitalHuizhouGuangdongChina Department of Radiation and Medical Oncology Zhongnan Hospital of Wuhan UniversityWuhanHubeiChina Department of Oncology Xingtai People’s HospitalHebei Medical UniversityXingtaiHebeiChina The First Department of the Tumor Hospital of Harbin Medical University HarbinHeilongjiangChina Department of Nutrition Guangdong General HospitalGuangdong Academy of Medical SciencesGuangzhouGuangdongChina Department of Oncology Affiliated

Background:The scored Patient-Generated Subjective Global Assessment(PG-SGA)has been widely used to assess the nutritional status of cancer *** purpose of this study is to compare the differences in PG-SGA scores and the 7 domain scores of the PG-SGA in male and female cancer ***:This study was conducted at 72 hospitals from July 2013 to December 2018,a part of the Investigation on Nutritional Status and its Clinical Outcomes of Common *** PG-SGA was recorded to evaluate the nutritional status of patients.A total of 19,528 patients with 13 common malignancies were included in this *** t test and the χ^(2) test were applied to analyze the sex diferences in the 7 domain *** Cancer Genome Atlas(TCGA)database was used to analyze the expression levels of symptom-related ***:There were significant sex dfferences in the PG-SGA(P=0.032),notably in patients with gastric cancer(male vs female:9.09±4.86 vs 9.58±5.07,P=0.005)and esophageal cancer(9.64±4.90 vs 10.46±4.96,P=0.011)and the average total PG-SGA of female patients was slightly higher than that of male patients(7.64±4.98 vs 7.77±5.14).The differences were mainly related to the weight,eating,symptom,as well as activity and physical function scores in the stratified *** causes of the sex differences were the rates of nausea,vomiting,dry mouth,and other symptoms,in both gastric and esophageal cancer *** of the TCGA database suggested that most of the related genes were sex neutral,except for genes related to dysphagia in gastric cancer(VEGFC was higher in female patients,VEGFA and VEGFB higher in male patients).Conclusions:There are sex differences in the PG-SGA scores in patients with various tumor types(female patients generally had higher scores than male patients),with differences mainly in the weight,eating,symptom,as well as activity and physical function *** sex differences in PG-SGA scores might be due to the differences i

关键词： PG-SGA Sex differences Malnutrition Cancer patients TCGA database

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糖尿病前期(脾瘅)中医诊疗优化方案(2023版)

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世界中西医结合杂志 2023年第5期18卷 1046-1050页

作者：中国代谢病防治协同创新平台制定高彦彬倪青徐云生张涛静王世东陈秋不详首都医科大学中医药学院北京100069 中国中医科学院广安门医院北京100053 山东中医药大学第二附属医院山东济南250001 北京中医药大学东方医院北京100078 北京中医药大学东直门医院北京100007 成都中医药大学附属医院四川成都610032

《脾瘅(糖尿病前期)中医诊疗优化方案》(2023版)是由中国代谢病防治协同创新平台组织国内代谢病防治专家,基于国家十一五支撑计划课题及国家重点研发课题研究成果,在系统总结国家防治糖尿病前期成果及国家名老中医诊治糖尿病前期学术经... 详细信息

《脾瘅(糖尿病前期)中医诊疗优化方案》(2023版)是由中国代谢病防治协同创新平台组织国内代谢病防治专家,基于国家十一五支撑计划课题及国家重点研发课题研究成果,在系统总结国家防治糖尿病前期成果及国家名老中医诊治糖尿病前期学术经验基础上,参考《脾瘅(糖尿病前期)中医诊疗方案》《糖尿病前期病证结合诊疗指南》等文献,在优化方案专家组、循证医学专家的指导下,经过文献研究、专家问卷访谈、专家论证、专家指导组审核等各项工作,形成最终的《脾瘅(糖尿病前期)中医诊疗优化方案》(2023版)。糖尿病前期(脾瘅)中医诊疗优化方案(2023版)分术语和定义、病因病机、诊断、治疗方案、健康管理五部分,对糖尿病前期的定义、中医证候诊断、治疗方案进行了优化,为广大医生(特别基层医生)提供了更具实用和可操作性的生活方式干预配合中医辨证论治的中国特色防治方案,更有利于我国糖尿病的预防。

关键词：糖尿病前期中医诊疗方案生活方式干预中医辨证论治

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CACA Guidelines for Holistic Integrative Management of Breast Cancer

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Holistic Integrative Oncology 2022年第1期1卷 76-126页

作者： Jiong Wu Daiming Fan Zhimin Shao Binghe Xu Guosheng Ren Zefei Jiang Yongsheng Wang Feng Jin Jin Zhang Qingyuan Zhang Fei Ma Jinli Ma Zhonghua Wang Shusen Wang Xiaojia Wang Shu Wang Haibo Wang Tao Wang Xiang Wang Jing Wang Jia Wang Biyun Wang Li Fu Hongyuan Li Yehui Shi Lu Gan Yunjiang Liu Jian Liu Zhenzhen Liu Qiang Liu Qiang Sun Wenwu Cheng Keda Yu Zhongsheng Tong Xinhong Wu Chuangui Song Jianguo Zhang Jian Zhang Junjie Li Bin Li Man Li Huiping Li Wentao Yang Hongjian Yang Benlong Yang Hong Bu Juping Shen Zhenzhou Shen Yiding Chen Ceshi Chen Da Pang Zhimin Fan Ying Zheng Xiaoli Yu Guangyu Liu Xichun Hu Yiqun Ling Jinhai Tang Yongmei Yin Cuizhi Geng Peng Yuan Yajia Gu Cai Chang Xuchen Cao Yuan Sheng Yuanxi Huang Jian Huang Weijun Peng Xiaohua Zeng Yuntao Xie Ning Liao Committee of Breast Cancer Society,chinese Anti-Cancer Association Key Laboratory of Breast Cancer in Shanghai Department of Breast SurgeryFudan University Shanghai Cancer CenterShanghai Medical College of Fudan UniversityShanghaiChina Department of Oncology Shanghai Medical College of Fudan UniversityShanghaiChina Department of Gastroenterology Beijing Chaoyang HospitalCapital Medical UniversityBeijingChina State key Laboratory of Cancer Biology National Clinical Research Center for Digestive Diseases and Xijing Hospital of Digestive DiseasesFourth Military Medical UniversityXi’anChina National Cancer Center/Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical CollegeBeijingChina Department of Endocrine and Breast Surgery The First Affliated Hospital of Chongqing Medical UniversityYuzhongChongqingChina Medicine-Oncology The Affliated Hospital of Military Medical Sciences(The 307th Hospital of Chinese People’s Liberation Army)BeijingChina Breast Disease Center Shandong Cancer HospitalJinanChina Department of Breast Surgery The First Affliated Hospital of China Medical UniversityShenyangChina The 3rd Department of Breast Cancer China Tianjin Breast Cancer PreventionTreatment and Research CenterTianjin Medical University Cancer Institute and HospitalNational Clinical Research Center of CancerTianjinChina Harbin Medical University Cancer Hospital HarbinChina Department of Radiation Oncology Fudan University Shanghai Cancer CenterShanghai Medical College of Fudan UniversityShanghaiChina Sun Yat-Sen University Cancer Center GuangzhouChina Zhejiang Cancer Hospital HangzhouChina Breast Center Peking University People’s HospitalBeijingChina Department of Breast Center The Affliated Hospital of Qingdao UniversityShandongChina Department of Oncology Fifth Medical Center of Chinese PLA General HospitalBeijingChina Department of Breast Surgical Oncology National Cancer Center/National Clinical Research Center for Cancer/Cancer HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijingChina Departmen

Purpose:Breast cancer is now the most common malignant tumor *** one-fourth of female cancer patients all over the world sufer from breast *** about one in six female cancer deaths worldwide is caused by breast *** terms of absolute numbers of cases and deaths,china ranks frst in the *** CACA Guidelines for Holistic Integrative Management of Breast Cancer were edited to help improve the diagnosis and comprehensive treatment in ***:The Grading of Recommendations Assessment,Development and Evaluation(GRADE)was used to classify evidence and ***:The CACA Guidelines for Holistic Integrative Management of Breast Cancer include the epidemiology of breast cancer,breast cancer screening,breast cancer diagnosis,early breast cancer treatment,advanced breast cancer treatment,follow-up,rehabilitation,and traditional chinese medicine treatment of breast cancer ***:We to standardize the diagnosis and treatment of breast cancer in china through the formulation of the CACA Guidelines.

关键词： Epidemiology of breast cancer Breast cancer screening Breast cancer diagnosis Early breast cancer treatment Advanced breast cancer treatment Traditional chinese medicine treatment of breast cancer

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定制式3D打印骨盆肿瘤假体设计与临床应用专家共识

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中华骨与关节外科杂志 2022年第7期15卷 491-500页

作者：中国抗癌协会肉瘤专业委员会骨盆肿瘤学组中国抗癌协会肉瘤专业委员会创新与转化学组中国抗癌协会骨肿瘤和骨转移瘤专业委员会修复重建学组闵理孙伟杨毅李浩淼李小康于胜吉张清屠重棋郭卫蔡郑东蔡建强董扬胡永成李建民林建华牛晓辉曲国蕃沈靖南邵增务王国文叶招明张伟滨郭征不详四川大学华西医院骨科骨科研究所成都610041 上海交通大学附属第一人民医院骨科上海200080 北京大学人民医院骨肿瘤科北京100044 南方医科大学第三附属医院骨科广州510630 空军军医大学唐都医院骨科西安710038 中国医学科学院肿瘤医院骨科北京100021 北京积水潭医院骨肿瘤科北京100035 中国医学科学院肿瘤医院肝胆外科北京100021 上海市第六人民医院骨科上海200233 天津医院骨肿瘤科天津300210 山东大学齐鲁医院骨科济南250012 福建医科大学附属第一医院骨科福州361003 哈尔滨医科大学附属肿瘤医院骨科哈尔滨150081 中山大学附属第一医院骨肿瘤科广州510080 华中科技大学同济医学院附属协和医院骨科武汉430022 天津医科大学肿瘤医院骨与软组织肿瘤科天津300060 浙江大学医学院附属第二医院骨科杭州310009 上海交通大学医学院附属瑞金医院骨科上海200025

功能性重建骨盆肿瘤切除后残留的巨大骨缺损是骨肿瘤外科医师必须面对的巨大挑战。骨盆假体因具有较好的初始稳定性、外形更易被接受、以及功能恢复相对较快等特点,近年来逐渐成为骨盆恶性或侵袭性肿瘤切除后的主要重建手段。但传统骨... 详细信息

功能性重建骨盆肿瘤切除后残留的巨大骨缺损是骨肿瘤外科医师必须面对的巨大挑战。骨盆假体因具有较好的初始稳定性、外形更易被接受、以及功能恢复相对较快等特点,近年来逐渐成为骨盆恶性或侵袭性肿瘤切除后的主要重建手段。但传统骨盆假体仍然存在断裂、松动等风险。随着3D打印技术的发展,采用3D打印定制类骨小梁多孔结构骨盆假体已成功应用于临床,获得了较好的力学支撑和界面骨整合,而假体的设计优劣和应用是否规范直接影响使用效果。本共识以循证医学证据为基础,经全国骨肿瘤专家商议讨论,从定制式3D打印骨盆肿瘤假体的设计和临床应用等关键技术环节形成推荐意见,为此类假体的有效使用提供参考。

关键词：骨盆肿瘤 3D打印假体

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适用于青少年与年轻成人的预立医疗照护计划文件的汉化研究:《说出我的选择》

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协和医学杂志 2022年第1期13卷 96-103页

作者：蔡思雨郭巧红宁晓红路桂军郭艳汝刘寅秦新艳王娴静阎天伊王瑞欣周翾彭晓霞中华医学会儿科学分会血液学组儿童舒缓治疗亚专业组国家儿童医学中心首都医科大学附属北京儿童医院临床流行病与循证医学中心北京100045 首都医科大学护理学院北京100069 中国医学科学院北京协和医院老年医学科北京100730 清华大学附属北京清华长庚医院疼痛科北京102218 沧州市人民医院安宁疗护科河北沧州061000 北京王府中西医结合医院老年病(安宁疗护)科北京102209 北京和睦家医院内科北京100015 郑州市第三人民医院血液科郑州450000 香港大学人文医学中心中国香港999077 国家儿童医学中心首都医科大学附属北京儿童医院血液病中心儿童血液病与肿瘤分子分型北京市重点实验室儿科学国家重点学科儿科重大疾病研究教育部重点实验室北京100045 不详

目的将适用于青少年与年轻成人的预立医疗照护计划(advance care planning,ACP)文件Voicing My CHOiCES进行汉化,为在我国该人群中进行ACP实践提供基础。方法汉化流程包括背对背翻译、译本整合、医务人员评审、患者评审、背对背回译、... 详细信息

目的将适用于青少年与年轻成人的预立医疗照护计划(advance care planning,ACP)文件Voicing My CHOiCES进行汉化,为在我国该人群中进行ACP实践提供基础。方法汉化流程包括背对背翻译、译本整合、医务人员评审、患者评审、背对背回译、回译本整合、原文件作者修订、定稿。医务人员评审的参与者为ACP实践中涉及的各类医务工作者,包括医生、护士、社工等。审评内容为文件整体结构合理性,以及各个主题的重要性、适用性和语言本土化水平。医务人员评审包括3轮评审过程,每轮评审后对文件进行修订,形成文件初稿。文件初稿再经患有致命性疾病的年轻患者及其家属进行评审,审评内容包括各个主题的适宜程度、帮助程度、压力程度,在此基础上对文件进一步修订,形成文件终稿,经原作者修订后定稿。结果因中美在语言、文化、医疗和法律体系上的差异,汉化过程针对文件中的部分主题进行本土化调适。中文版文件包括13个主题,涉及医疗与护理决策、日常生活规划、后事规划等内容。91.67%的患者和80%的患者父母认为所有主题均与患者的年龄和文化相适宜,符合年轻人需求和中国文化特征。75%的患者和70%的患者父母认为所有主题均是有帮助的。在压力程度评价中,死亡相关主题会为患者及其家属带来较大压力。结论《说出我的选择》是我国首个适用于青少年和年轻成人的ACP文件。该文件可帮助中国年轻患者思考和表达自己的偏好、意愿和价值观,确定未来医疗和护理的目标以及生活规划,并与亲属和医务人员讨论此类问题。

关键词：预立医疗照护计划汉化说出我的选择青少年年轻成人

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chinese guidelines for the application of colon cancer staging recognition systems based on artificial intelligence platforms (2021)

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Intelligent Medicine 2021年第1期1卷 37-42页

作者： Yun Lu Shuai Li Yuan Gao Yong Dai Bo Feng Fanghai Han Jiagang Han Jingjing He Xinxiang Li Guole Lin Qian Liu Guiying Wang Quan Wang Zhenning Wang Zheng Wang Aiwen Wu Bin Wu Yingchi Yang Hongwei Yao Wei Zhang Jianping Zhou Aimin Hao Zhongtao Zhang 无 Department of General Surgery The Affiliated Hospital of Qingdao UniversityQingdaoShandong 266003China Beihang University State Key Laboratory of Virtual Reality Technology and Systems Beijing 100191China Department of General Surgery Qilu Hospital of Shandong UniversityJinanShandong 250012China Department of General Surgery Ruijin HospitalShanghai Jiao Tong University School of MedicineShanghai 200020China Shanghai Minimally Invasive Surgery Center Ruijin HospitalShanghai Jiao Tong University School of MedicineShanghai 200020China Department of Gastrointestinal Surgery Sun Yat-sen Memorial HospitalSun Yat-sen UniversityGuangzhouGuangdong 510120China Department of General Surgery Beijing Chaoyang HospitalCapital Medical UniversityBeijing 100027China Institute of International Law Chinese Academy of Social SciencesBeijing 102442China Department of Colorectal Surgery Fudan University Shanghai Cancer CenterShanghai 200032China Department of Oncology Shanghai Medical CollegeFudan UniversityShanghai 200032China Department of General Surgery Peking Union Medical College HospitalChinese Academy of Medical Sciences&Peking Union Medical CollegeBeijing 100730China National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital Chinese Academy of Medical Sciences&Peking Union Medical CollegeBeijing 100730China Third Hospital of Hebei Medical University ShijiazhuangHebei 50051China Department of Colon and Rectum Surgery The First Hospital of Jilin UniversityChangchunJilin 130031China Department of Surgical Oncology and General Surgery Key Laboratory of Precision Diagnosis and Treatment of Gastrointestinal TumorsMinistry of EducationThe First Affiliated Hospital of China Medical UniversityShenyangLiaoning 110001China Department of Gastrointestinal Surgery Union HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhanHubei 430030China Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education) Department of Unit II

The incidence and mortality of colon cancer in china are increasing each *** present,treatment selection for colon cancer patients mainly depends on imaging results,which require a large number of radiologists to *** china,there is a shortage and uneven distribution of experienced radiologists,which leads to delays and bias in the evaluation of imaging *** on these considerations,the Colorectal Surgery Group of the Surgery Branch of the chinese Medical Association in collaboration with experts at Beihang University has independently developed an artificial intelligence(AI)-based recognition system for the preoperative determination of colon cancer stage to partially replace the work of and relieve the pressure on *** guidelines aim to standardize the use of AI-based recognition systems in the preoperative staging of colon cancer and guide their clinical application.

关键词： Artificial intelligence Colon cancer Deep learning Preoperative staging

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